Tooth Replacement Options

• Missing teeth may affect how you speak.
• A missing molar (back tooth) can make it harder to chew.
• Your remaining teeth can shift when a tooth is lost and not replaced. 
• Due to tooth loss, you may have tooth and jaw pain from shifted or misaligned teeth.
• Bone loss can occur around the missing tooth. This may cause your remaining teeth to become loose over time.  
• Loss of teeth and bone can make your face sag. You may look older.

A removable partial denture usually has replacement teeth fixed to a metal or acrylic (plastic) base that matches the color of your gums. Partial dentures often have some form of clasp that attaches to your natural teeth and can easily be taken out of your mouth for cleaning or storing while you sleep.

Advantages of removable partial dentures:

• They are usually less expensive than fixed bridges or implants or when replacing multiple teeth.
• They don't require teeth next to the space to be prepared.
• They are usually easier to repair than fixed bridges. 
• They can be removed for cleaning.

Disadvantages of removable partial dentures:

• They can be less stable than other choices.
• They can break or be lost.
• They may take longer to get used to wearing because it could take several appointments for your dentist to achieve the right fit.
• Some people are embarrassed to take their teeth out at night and for cleaning.

A fixed bridge is a restoration that fills the space where one or more teeth have been lost. A fixed bridge is permanently bonded or cemented into place - this means that only a dentist can remove it.

Advantages of fixed bridges:

• They can look, feel and function like natural teeth.
• They don't require removal for cleaning.
• They may cost less than implants.

Disadvantages of fixed bridges:

• They affect the teeth next to the missing tooth.
• They may require extra effort to clean under the replacement tooth (called the pontic).
• They are likely to be more expensive than a removable partial denture.

Implants are posts (metal "roots") that are surgically placed in your upper or lower jaw, where they function as a sturdy anchor for replacement teeth. Many people choose implants to replace a single tooth with several teeth or support a complete denture.

A dental implant may be right for you if you:

• Wear dentures that are uncomfortable to you.
• Are not happy with your removable partial denture.
• Want to keep your other natural teeth unchanged.

A tooth implant is a surgical procedure, so it's not an option for everyone. You may be a good candidate for an implant if you:

• Are in good overall health.
• Have adequate bone to support the implant, or be able to have surgery to build up the area needing the implant.
• Are ready to commit to a daily oral care routine and regular visits.

Advantages of implants:

• An implant is most similar to a natural tooth and feels more comfortable.
• Nearby teeth remain unchanged and do not need to be involved.
• They are a good value because they can last a lifetime with good care.
• They may help prevent shrinkage of the jawbone from tooth loss.
•  They may fit better and be more comfortable than removable partial dentures.

Disadvantages:

• They require a surgical procedure to place them.
• Implant placement may take longer and require more dental visits than other options.
• They may cost more than other treatments.